|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$762.90 |
$762.90 |
$1,782.00 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$642.78 |
$642.78 |
$1,065.90 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$393.25 |
$393.25 |
$529.10 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,165.25 |
$3,165.25 |
$4,971.45 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,698.41 |
$2,698.41 |
$5,424.65 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,453.10 |
$1,453.10 |
$1,651.65 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$602.25 |
$602.25 |
$635.64 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$435.60 |
$435.60 |
$435.60 |
$448.80
|
|
Clsd tx pelvic ring fx
|
$412.50 |
$412.50 |
$412.50 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,849.99 |
$2,849.99 |
$4,649.70 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$166.32 |
$166.32 |
$612.76 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$964.54 |
$964.54 |
$964.54 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$2,638.35 |
$2,638.35 |
$3,003.00 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$235.40 |
$235.40 |
$235.40 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,398.54 |
$1,398.54 |
$3,196.60 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,293.60 |
$1,293.60 |
$1,445.73 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,934.08 |
$1,934.08 |
$5,133.70 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$632.78 |
$632.78 |
$969.10 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$596.31 |
$596.31 |
$819.50 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$707.14 |
$707.14 |
$707.14 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,376.38 |
$1,376.38 |
$3,119.05 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$632.78 |
$632.78 |
$632.78 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$473.55 |
$473.55 |
$473.55 |
$705.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$453.20 |
$453.20 |
$596.31 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$722.15 |
$722.15 |
$1,167.65 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$562.10 |
$562.10 |
$562.10 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$435.60 |
$435.60 |
$712.14 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$395.45 |
$395.45 |
$632.78 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$1,162.70 |
$1,162.70 |
$1,802.52 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,182.61 |
$1,182.61 |
$2,518.45 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,992.70 |
$1,992.70 |
$1,992.70 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$729.30 |
$729.30 |
$729.30 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,293.60 |
$1,293.60 |
$1,445.73 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$662.09 |
$662.09 |
$662.09 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$1,449.30 |
$1,449.30 |
$6,586.80 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$7,153.58 |
$7,153.58 |
$12,646.70 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$3,032.32 |
$3,032.32 |
$4,678.85 |
$3,990.33
|
|
Cltx post ankle fx
|
$270.98 |
$270.98 |
$270.98 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$3,100.35 |
$3,100.35 |
$4,957.81 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,615.25 |
$2,615.25 |
$2,615.25 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$619.30 |
$619.30 |
$619.30 |
$722.16
|
|
Cltx thigh fx
|
$2,127.84 |
$2,127.84 |
$2,127.84 |
$3,881.76
|
|
C motor evoked lwr limbs
|
$391.60 |
$391.60 |
$1,202.63 |
$627.89
|
|
C motor evoked uppr limbs
|
$323.40 |
$323.40 |
$1,202.63 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$1,844.70 |
$1,844.70 |
$2,084.22 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$21.78 |
$21.78 |
$119.40 |
$79.17
|
|
Cmptr ophth img optic nerve
|
$37.62 |
$37.62 |
$270.27 |
$97.50
|
|
#cmvcul-virus inoculation shell
|
$119.35 |
$119.35 |
$157.85 |
$102.57
|
|
Cmv pcr-sendout
|
$170.50 |
$170.50 |
$355.85 |
$173.25
|
|
Co2 monitor per day
|
$943.80 |
$943.80 |
$943.80 |
$388.85
|
|
Coagulation time activated teg
|
$36.85 |
$36.85 |
$52.25 |
$50.05
|
|
Cochlear implt f/up exam <7
|
$368.04 |
$368.04 |
$368.04 |
$369.60
|
|
Cochlear implt f/up exam 7/>
|
$155.76 |
$155.76 |
$409.01 |
$345.60
|
|
Cold agglutinin titer
|
$49.50 |
$49.50 |
$104.50 |
$48.57
|
|
Collar cerv ascend 172 reg
|
$668.00 |
$668.00 |
$668.00 |
$241.88
|
|
Collar extrication adult univ
|
$1,683.02 |
$1,683.02 |
$1,683.02 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$203.50 |
$203.50 |
$212.36 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$126.50 |
$126.50 |
$143.72 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$14.30 |
$14.30 |
$24.20 |
$22.00
|
|
Colon motility 6 hr study
|
$704.28 |
$704.28 |
$704.28 |
$368.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,909.50 |
$2,909.50 |
$3,963.96 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$275.55 |
$275.55 |
$275.55 |
$326.30
|
|
Colposcopy w/biopsy of cervix 57455
|
$474.65 |
$474.65 |
$474.65 |
$544.70
|
|
Compatibility test each unit antiglobulin technique
|
$155.10 |
$155.10 |
$182.60 |
$173.25
|
|
Compatibility test each unit electronic
|
$135.30 |
$135.30 |
$175.45 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$118.80 |
$118.80 |
$154.55 |
$169.52
|
|
Compatibility test incubate
|
$85.25 |
$85.25 |
$112.75 |
$143.65
|
|
Comp cystometrogram/void presssure 51728
|
$262.68 |
$262.68 |
$731.44 |
$958.81
|
|
Complement antigen each component c3
|
$135.85 |
$135.85 |
$526.35 |
$111.15
|
|
Complex cystometrogram 51726
|
$339.90 |
$339.90 |
$1,806.80 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,001.00 |
$1,001.00 |
$1,445.02 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,258.95 |
$1,258.95 |
$1,529.38 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$44.88 |
$44.88 |
$203.06 |
$353.50
|
|
Compl oph exam general anes
|
$3,461.15 |
$3,461.15 |
$3,461.15 |
$2,584.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,477.19 |
$1,477.19 |
$1,937.10 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,773.20 |
$1,773.20 |
$2,421.65 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$778.64 |
$778.64 |
$1,742.95 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$783.64 |
$783.64 |
$1,742.95 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$875.88 |
$875.88 |
$2,615.25 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$985.27 |
$985.27 |
$1,162.70 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,250.54 |
$1,250.54 |
$1,646.70 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,445.02 |
$1,445.02 |
$1,445.02 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$106.70 |
$106.70 |
$106.70 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$2,478.19 |
$2,478.19 |
$3,252.15 |
$2,692.80
|
|
Comprehensive hearing test
|
$61.38 |
$61.38 |
$274.56 |
$224.40
|
|
Compre oph exam est pt 1/>
|
$74.12 |
$74.12 |
$141.78 |
$214.50
|
|
Compre oph exam new pt 1/>
|
$105.64 |
$105.64 |
$170.27 |
$186.00
|
|
Concentration infection agents any type
|
$40.15 |
$40.15 |
$68.20 |
$51.32
|
|
Conditioning play audiometry 92582
|
$308.16 |
$308.16 |
$308.16 |
$185.15
|
|
Condylomata destruction 56420
|
$459.03 |
$459.03 |
$1,355.75 |
$509.81
|
|
Connect omega .5mm
|
$2,116.83 |
$2,116.83 |
$2,174.80 |
$1,069.43
|
|
Connector tis 2x10mm
|
$5,803.50 |
$5,803.50 |
$5,803.50 |
$3,934.53
|
|
Consultation pathology during surgery
|
$123.75 |
$123.75 |
$123.75 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$246.40 |
$246.40 |
$294.25 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$98.45 |
$98.45 |
$105.05 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$301.95 |
$301.95 |
$301.95 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$344.85 |
$344.85 |
$597.30 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$69.85 |
$69.85 |
$130.90 |
$176.15
|
|
Consult comp w/report rfrd material
|
$211.75 |
$211.75 |
$211.75 |
$359.87
|
